2. Stress: is a condition in which the human
system responds to changes in its normal
balanced state.
Stressor: is any thing that is perceived as
challenging, threatening or demanding.
Adaptation: is the change that takes place
as a result of the response to a stressor.
Homeostasis: various physiologic
mechanisms within the body respond to
internal changes to maintain a relative
constancy in the internal environment.
3. Sources of stressors
Internal e.g. illness, abnormal change, or
fear
External e.g. noise, cold environment,
death, move
4. Physiologic Homeostasis
Local Adaptation System (LAS) — involves
only one specific body part
– Reflex pain response
– Inflammatory response
General Adaptation Syndrome —
biochemical model of stress (Hans Selye)
– Alarm reaction
– Resistance
– Exhaustion
5. Alarm Reaction
Person perceives stressor, defense
mechanisms activated
Fight-or-flight response
Hormone levels rise, body prepares to react
Shock and counter-shock phases (1 min -
24 hrs)
6. Resistance
Body attempts to adapt to stressor.
Vital signs, hormone levels, and energy
production return to normal.
Body regains homeostasis or adaptive
mechanisms fail.
7. Exhaustion
Results when adaptive mechanisms are
exhausted
Body either rests and mobilizes it’s defenses
to return to normal or dies
10. Coping Mechanisms
Crying, laughing, sleeping, cursing
Physical activity, exercise
Smoking, drinking
Lack of eye contact, withdrawal
Limiting relationships to those with similar
values and interests
11. Factors Affecting Stress and
Adaptation
Sources of stress
Types of stressors experienced
Personal factors
12. Categories of Stress
Developmental stress
– Occurs when person progresses through stages
of growth and development
– E.g.
Situational stress
– Does not occur in predictable patterns
– E.g.
13. Types of Stressors
Physiological
– Chemical agents, physical agents, infectious
agents, nutritional imbalances, hypoxia, genetic
or immune disorders
Psychosocial
– Includes real and perceived threats
15. Crisis Intervention
Crisis: is a disturbance caused by a
precipitating event such as a perceived loss,
a threat of loss, or a challenge, that is
perceived as a threat to self.
Crisis Intervention
– Identify the problem
– List alternatives
– Choose from alternatives
– Implement the plan
– Evaluate the outcome